State Of Mind Counseling Centers Llc
LBN: State Of Mind Counseling Centers Llc
State Of Mind Counseling Centers Llc is an health care organization with primary practice located at 52188 Van Dyke Ave Ste 319 , Shelby Township MI 48316-3571. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
State Of Mind Counseling Centers Llc can be contacted via phone (248) 690-6851, or through Michael, Carrissa Nicole via phone (248) 521-8237.
Contact Information
Primary practice address
52188 Van Dyke Ave Ste 319
Shelby Township MI 48316-3571
Phone: (248) 690-6851
Fax:
Website:
Authorized official contact:
Name: Michael, Carrissa Nicole MA, LPC, NCC, LLMFT
Phone: (248) 521-8237
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1003376112 |
|---|---|
| LBN Legal business name | State Of Mind Counseling Centers Llc |
| DBA Doing business as | |
| Authorized official | Michael, Carrissa Nicole MA, LPC, NCC, LLMFT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 24th, 2019 |
| Last updated | Jun 11th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003376112 | NPPES |
| Other | 1770927147 | NPI |
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